| NPI | 1083110373 |
|---|---|
| Doing Business As | WELLFIRST |
| Entity Type | Organization |
| Authorized Contact | DONNIE WILCOX Billing Manager 812-962-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-07-06 |